Type 1 - Healthy life style +balance diet +Insulin+/tablets
Type 2- Healthy life style +balance diet OR
Healthy life style +balance diet +tablets OR
Healthy life style +balance diet +insulin +/tablets
Usually the medications need to be gradually increased over the years asthe insulin levels tend to diminis gradually.
As mention above additional measures are needed to reduce your overall risks.
Monday, November 3, 2008
HOW DO INSULINS WORK & HOW IT IS GIVEN ???
Insulin works by lowering blood sugar.If you take too much it could lower your blood sugar too much causing a`Hypo` attack. (see below)
Insulins have to be injected by the patient or a family member.Though it is an injection
patients generally get used to it.It is commonly injected to the thigh, around your bellybutton or shoulders. It should not be injected in to the same site all the time.
Insulin should be stored in the refrigerator.(not in the freezer compartment) or in a cool
room.It is sensible always to havean extra bottle of insulin in case of breakage.The
number of injections could usually vary from one to three injections a day depending on the type of insulin prescribed.
Insulins have to be injected by the patient or a family member.Though it is an injection
patients generally get used to it.It is commonly injected to the thigh, around your bellybutton or shoulders. It should not be injected in to the same site all the time.
Insulin should be stored in the refrigerator.(not in the freezer compartment) or in a cool
room.It is sensible always to havean extra bottle of insulin in case of breakage.The
number of injections could usually vary from one to three injections a day depending on the type of insulin prescribed.
Saturday, November 1, 2008
WHAT ARE THE INDICATIONS FOR INSULIN???
Daily insulin injections are absolutely essential for Type 1 diabetic patients.
Type 2 patients may need insulin when diet, drugs etc do not work adequately any longer.Also if they suddenly become ill due to any other reason or if they go for surgery, diets or during pregnancy they may need Insulin till they get better.
There are many different types of Insulin as they could be made from cows (beef insulin), pigs (porcine insulin) or human insulin.Action of these types of insulin is
basically the same.
Also they are categorized as short,intermediate,long acting insulin and mixed types according to the duration they act.Hence different combinations of these insulin types could be very confusing!!!. Therefore do not change the type of insulin unless
specifically advices by your doctor.
Insulin as an inhalation could be available in the very near future
WHAT ARE THE MEDICATIONS FOR TYPE 2 DIABETES ???
For some dietry control,exercise and maintaining ideal body weight alone may be enough.Medication is in addition to above measures and
not "instead of " diet and exercise.Those who need tablets may need
one or more drugs to control sugar levels.Commonly used drug groups are;-
* Metformin-Controls of blood sugar by reducing the amount of sugar released to theblood stream bythe liver and increase the sensitivity
of body tissues to insulin.It is particularly useful for overweight
patients.
*Sulphonylurea-They work by increasing the insulin secretion by your
pancreas.Excess dose could cause low blood-sugar.( hypoglycemia )
Examples are - Chlorpropamide, Tolbutamide,Glibenclemide,Gliciazide,
Glipizide etc.
*Glitazones-Newer class of drugs which improvesthe action of insulin.
*Others- Acarbose- Reduces sugar absorption from your gut
WHAT ABOUT EXERCISE ?
Exercise helps the muscles to burn off extra energy.Regular exercise not only helps diabetics bu also
reduces the risks of the having heart-attacks ans stroke which are closely associated with diabetes.
If you are able, you should aim to do 30 minutes ofbrisk walking at least 5 times a week. Try to make
it a part of your daily routine like walking to your work place orshop etc.
reduces the risks of the having heart-attacks ans stroke which are closely associated with diabetes.
If you are able, you should aim to do 30 minutes ofbrisk walking at least 5 times a week. Try to make
it a part of your daily routine like walking to your work place orshop etc.
Thursday, October 30, 2008
WHAT IS A GOOD DIET FOR DIABETES ?
Diet is very important in diabetic treatment.This not only will help to control your blood sugar but also
will control your weight and lower ther risk of heart desease.
* Eat regular meals.
* Eat high fibre starchy foods like whole grain bread or brown rice.(par boiled rice)
* Cut down the facts partcularly animal fats.Change to low fat milk (semi skimmed or skimmed milk)
Use less butter or margerine. Grill,Steam or oven bake than fry. Use oils like Sunflower or Soya
oil if necessary.Eat fewer pastries & cakes.
* Eat plenty of fruit & vegetables.Spread these through out the day.
* Avoid sugar and sugar drinks. Try using artificial sweetners instead if really necessary.
* Use less sal.
* Use alcohol only in moderation ( 2-3 units/day) - A unit of alcohol is either 1/2 pint of beer or 1
small glass of wine.
* Reduce weight if you are over weight.
Diabetes is a life long disease.Hence the dietry changes should also be life long.! It may be necessary to see a dietician to get specific advice depending on your dietry habits.
will control your weight and lower ther risk of heart desease.
* Eat regular meals.
* Eat high fibre starchy foods like whole grain bread or brown rice.(par boiled rice)
* Cut down the facts partcularly animal fats.Change to low fat milk (semi skimmed or skimmed milk)
Use less butter or margerine. Grill,Steam or oven bake than fry. Use oils like Sunflower or Soya
oil if necessary.Eat fewer pastries & cakes.
* Eat plenty of fruit & vegetables.Spread these through out the day.
* Avoid sugar and sugar drinks. Try using artificial sweetners instead if really necessary.
* Use less sal.
* Use alcohol only in moderation ( 2-3 units/day) - A unit of alcohol is either 1/2 pint of beer or 1
small glass of wine.
* Reduce weight if you are over weight.
Diabetes is a life long disease.Hence the dietry changes should also be life long.! It may be necessary to see a dietician to get specific advice depending on your dietry habits.
Monday, October 27, 2008
HOW IS DIABETES TREATED ?
Good management of diabetes needs a definite long term change to your life style.Management includes dietry control, exercise, maintaining an ideal weight, anti diabetic tablets or insulin or both.
Overall management strategy should also include measures to minimize the heart and circulation risk factors.Hence following additional measures are strongly recommended.
a) Stopping smoking
b) Controlling blood cholesterol levels.Most above 40 years will need a 'statin' anti-cholesterol drug.
c) Strict control of blood pressure (target<130/80>)
d) Aspirin for all above the age of 40 yrs.
( you are advised to meet your family doctor as regards b,c,d.)
What all this means is tha once you are diagnosed a diabetic, you will need a range of measures and
drugs for ideal management.
There are few exciting developments in the field of diabetes which may change the way it is managed in the future and may even be curative.These developments are likely to take many years or even decades to become a reality.
Overall management strategy should also include measures to minimize the heart and circulation risk factors.Hence following additional measures are strongly recommended.
a) Stopping smoking
b) Controlling blood cholesterol levels.Most above 40 years will need a 'statin' anti-cholesterol drug.
c) Strict control of blood pressure (target<130/80>)
d) Aspirin for all above the age of 40 yrs.
( you are advised to meet your family doctor as regards b,c,d.)
What all this means is tha once you are diagnosed a diabetic, you will need a range of measures and
drugs for ideal management.
There are few exciting developments in the field of diabetes which may change the way it is managed in the future and may even be curative.These developments are likely to take many years or even decades to become a reality.
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